Age Specific Patient Care

Age Specific Patient Care Related

Review Age Specific Patient Care related questions and content

Which of these nursing communications best reflects the nurse's use of an empowerment model with an individual who has been abused?

  • A. Let me share with you my knowledge of what happens psychologically to individuals who have been abused.'
  • B. I know you feel that your partner will change, but the current research does not validate your thinking.'
  • C. It's up to you to end the violence. You are the only one who can set limits on how your partner is allowed to treat you.'
  • D. Let's consider what you believe your options are in terms of your relationship with your partner in light of the behavior toward you.'
Correct Answer: D

Rationale: The correct answer, D, reflects the nurse's use of an empowerment model because it focuses on exploring the individual's beliefs and options, empowering them to make informed decisions. The nurse is not imposing their own knowledge or opinions but instead facilitating the individual's self-reflection and decision-making process. This approach respects the individual's autonomy and promotes empowerment by helping them identify and evaluate their own choices.

Choice A focuses on the nurse sharing knowledge, which may come across as patronizing and disempowering. Choice B dismisses the individual's feelings and relies on research rather than empowering the individual to make their own decisions. Choice C places the responsibility solely on the individual to end the violence, which may feel overwhelming and lacking in support or guidance.

You may also like to solve these questions

A depressed patient tells the nurse, "The bad things that happen are always my fault." How should the nurse respond to assist the patient to reframe this overgeneralization?

  • A. I really doubt that one person can be blamed for all the bad things that happen.
  • B. You are being exceptionally hard on yourself when you imply you are a jinx.
  • C. What about the good things that happen; are any of those ever your fault?
  • D. Let's look at one bad thing that happened to see if another explanation exists.
Correct Answer: D

Rationale: The correct answer is D because it encourages the patient to challenge the overgeneralization by exploring alternative explanations for a specific event. By examining one bad thing in detail, the patient can see that not everything is their fault, promoting a more balanced perspective.

A is incorrect because it simply doubts the patient's statement without providing a constructive way to reframe it. B is incorrect as it introduces the idea of being a jinx, which may further reinforce the patient's negative self-perception. C is incorrect as it diverts the focus to good things, which does not address the patient's negative beliefs about themselves.

A common form of mental disorder afflicting 10-20\% of the population is

  • A. schizophrenia
  • B. senile dementia
  • C. depression
  • D. delusional disorder
Correct Answer: C

Rationale: Depression affects 10-20\% of people at some point, making it far more common than schizophrenia or delusional disorders.

Disability is:

  • A. More common in low-income region of the world
  • B. Found in 16% or 1.3 billion people worldwide
  • C. More common in males
  • D. Not inclusive of mental health conditions
Correct Answer: B

Rationale: WHO estimates disability affects 16% of the global population (1.3 billion), including mental health conditions.

A health care provider writes these new prescriptions for a resident in a skilled nursing facility: 2G sodium diet, Restraint as needed, Limit fluids to 1800~mL daily, Continue antihypertensive medication, Milk of magnesia 30~mL PO once if no bowel movement for 3 days. The nurse should:

  • A. question the fluid restriction
  • B. question the order for restraint
  • C. transcribe the prescriptions as written
  • D. assess the residents bowel elimination
Correct Answer: B

Rationale: Restraints may be imposed only on a written order of the health care provider that specifies the duration during which the restraints can be used. The Joint Commission guidelines and Omnibus Budget Reconciliation Act regulations also mandate a number of other conditions that must be considered and documented before restraints are used. The other prescriptions are appropriate.

A patient with borderline personality disorder has cut her wrists. The physician orders daily dressing changes for the lacerations. The nurse performing this care should:

  • A. encourage the patient to vent anger and aggression.
  • B. provide care in a matter-of-fact manner
  • C. be kindly, sympathetic, and concerned.
  • D. offer to listen to the patient's feelings about cutting.
Correct Answer: B

Rationale: The correct answer is B: provide care in a matter-of-fact manner. This approach is important in treating patients with borderline personality disorder as it helps maintain boundaries and consistency, which are crucial for managing their condition. By being matter-of-fact, the nurse can prevent potential manipulation or reinforcement of maladaptive behaviors. Encouraging the patient to vent anger (choice A) may escalate the situation. Being overly sympathetic (choice C) can blur professional boundaries. Offering to listen to feelings (choice D) may reinforce the behavior and not address the underlying issues effectively.

Copyright © 2025 Nokea. All rights reserved.